Attached files

file filename
EX-4.9 - EXHIBIT 4.9 - CROSSROADS SYSTEMS INCv410326_ex4-9.htm
EX-99.3 - EXHIBIT 99.3 - CROSSROADS SYSTEMS INCv410326_ex99-3.htm
EX-23.1 - EXHIBIT 23.1 - CROSSROADS SYSTEMS INCv410326_ex23-1.htm
EX-99.5 - EXHIBIT 99.5 - CROSSROADS SYSTEMS INCv410326_ex99-5.htm
EX-99.7 - EXHIBIT 99.7 - CROSSROADS SYSTEMS INCv410326_ex99-7.htm
EX-99.2 - EXHIBIT 99.2 - CROSSROADS SYSTEMS INCv410326_ex99-2.htm
EX-10.7 - EXHIBIT 10.7 - CROSSROADS SYSTEMS INCv410326_ex10-7.htm
EX-99.8 - EXHIBIT 99.8 - CROSSROADS SYSTEMS INCv410326_ex99-8.htm
EX-99.4 - EXHIBIT 99.4 - CROSSROADS SYSTEMS INCv410326_ex99-4.htm
EX-99.1 - EXHIBIT 99.1 - CROSSROADS SYSTEMS INCv410326_ex99-1.htm
S-1 - FORM S-1 - CROSSROADS SYSTEMS INCv410326_s1.htm

 

Exhibit 99.6

 

FORM OF NOMINEE HOLDER ELECTION FORM

 

The undersigned, a bank, broker, trustee, depositary or other nominee of non-transferable subscription rights (the “Rights”) to purchase shares of common stock, par value $0.001 per share (the “Common Stock”), of Crossroads Systems, Inc. (the “Company”) pursuant to the rights offering (the “Rights Offering”) described and provided for in the Company’s Prospectus dated [______], 2015 (the “Prospectus”), hereby certifies to the Company and to American Stock Transfer & Trust Company, LLC, as subscription agent for the Rights Offering (the “Subscription Agent”), that (1) the undersigned has exercised, on behalf of the beneficial owners thereof (which may include the undersigned), on the terms and subject to the conditions set forth in the Prospectus, including the NOL Protection Mechanics, the number of Rights specified below to purchase the number of shares of Common Stock specified below pursuant to the Basic Subscription Rights (as defined in the Prospectus) and, on behalf of beneficial owners of Rights who have subscribed for the purchase of additional shares of Common Stock pursuant to the Over-Subscription Privilege (as defined in the Prospectus), the number of shares specified below pursuant to the Over-Subscription Privilege, listing separately below each such exercised Basic Subscription Right and the corresponding Over-Subscription Privilege (without identifying any such beneficial owner by name), (2) to the extent a beneficial owner has elected to subscribe for shares pursuant to the Over-Subscription Privilege, each such beneficial owner’s Basic Subscription Right has been timely exercised in full, and (3) except as specifically identified below, the exercise by such holder of the Rights specified below would not result in such holder owning, either directly or indirectly, of record or beneficially, more than 967,976 shares of Common Stock.

 

    Number of Rights Held   Number of
Rights Exercised
  Number of Shares
Subscribed for Pursuant to
Basic Subscription Rights*
  Number of Shares
Subscribed for Pursuant to 
the Over-
Subscription Privilege*
1.                
2.                
3.                
4.                
5.                
6.                
7.                
8.                
9.                
10.                

 

* Please indicate if the exercise by such holder of the Rights specified herein would result in such holder owning, either directly or indirectly, of record or beneficially, more than 967,976 shares of Common Stock.

 

[Certification continues on the following page]

 

 
 

 

Provide the following information, if applicable:

 

     
Name of Nominee Holder   DTC Participant Number
     
By:      
    DTC Subscription Confirmation Numbers
Name:    
     
Title:    
     
Phone Number:    
     
Fax Number:   Dated

 

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